Bouie, Kelly

Bouie, Kelly is an sole proprietor health care provider with primary practice located at 3050 Regent Blvd Ste 200 , Irving TX 75063-5806. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Bouie, Kelly can be contacted via phone (214) 689-8079.

Contact Information

Primary practice address
3050 Regent Blvd Ste 200 Irving TX 75063-5806
Phone: (214) 689-8079
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704242969 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2016013730 Michigan

Profile Details

NPI number 1023561537
LBN Legal business name Bouie, Kelly
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2016
Last updated Aug 1st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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